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General NPI Number Information
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NPI Number | 1427104686
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Entity Type | Individual
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Provider Name | RICHARD CHANG M.D.
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Gender | Male
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Dates
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Enumeration Date | 01/28/2007
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Last Update Date | 06/25/2010
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Provider Practice Location Address
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Address Line | 10820 SW 113TH PL
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City | MIAMI
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State | FL
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Zip | 33176-3227
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Country | US
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Telephone | 305-270-8083
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Fax | 305-271-5223
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Provider Business Mailing Address
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Address Line | 10820 SW 113TH PL
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City | MIAMI
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State | FL
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Zip | 33176-3227
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Country | US
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Telephone | 305-270-8083
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Fax | 305-271-5223
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RR0500X
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Taxonomy Name | Rheumatology Physician
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License Number | ME59505
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License Number State | FL
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